our technology is so fast dental laboratory technology and also printing technology
these video I would like to share with you guys how I am using digital dentures for implants
stay tuned
so why am I using digital dentures? a couple of reasons I would like to share
number one, we have implant cases, four or five implant cases, and then
we make the bite block and the verification jig, I all the time explain
to you which is stage one and then after they set up bite block and then they make
the wax try in, which ...we did a really nice job
aesthetic, contour, everything but the problem is, whenever I deliver it to
the doctor, and the doctor tries it in the patient's mouth, then teeth can fall out
sometimes, when they get the occlusion it is hard to get the occlusion contact
because wax try in is holding the wax which is temporary, it's not rigid, so we
cannot get a great perfect study cases but proof we can easily changing
whenever doctor says, 'can you move this?' 'can you make it longer?' easily we change it
but anyway regardless, so... nowadays our laboratory we are changing everything
I would like to make the printing denture why? I don't have to do
milling, it is to me ...not a good idea because I do have a really good machine
I spent a lot of money to get a 5-axis, great milling strategy, so we mill
we call... it PMMA right here's the problem... milling machine is... you have to
spend $25,000 easily but the printing machine is $17,000, milling time 5 hour
all right time is money. But printing is 27 minutes, that's totally different!
number two, a milling machine has to use a burr doesn't matter if
it's $25 dollar $45... $65 the 3D printer.... I've got one piece or two piece, easy way
huge benefit in order to save time and save money
here's the cons
whenever I make a printed denture we deliver to the doctor, very rigid, they can move anything
they can bite, they can even wear the temporary 3 to 6 months too and the
problem is when they say 'Luke the bite is really off' ...mid-line is like this
or one side is longer, and that's the problem but once we get the photo and
everything we will be printing again, that's the great part, so this video lot of
people ask me 'Luke, you know, Digital denture is not pretty... I cannot sell to the doctor'
but there's a lot of a tricks (I know)
this is education a lot of people want to learn about how to apply the digital
denture so this is the technique, we just printed this with EnvisionOne from EnvisionTEC
and then we just cured it with the pink which is one color tone but here is the
one monotone which is base color A1 so we're trying to make there be more
translucency with trying to follow the older flipper or denture so here's what
I do usually when I trick between the teeth I put a subtle pink orange color
just a little in between and then A+ I add just a little bit, subtle, on the cervical
area just add it not that much this little
which is same, okay so increase the chroma between teeth, just as if it is
too much, then remove it, but I put a little bit subtle stain from the embrasure
okay I wanna see this more yep okay I think too much just cut it so basically
I put the dentine apply on top of the facial so all the way up and then
canine is a little bit darker so you can make it a little bit darker cervical area
like this
right and then I'm using the the blue just a little bit in between mesial and
distal corner increase the translucency and then the other side too just subtle
don't get too much okay then irregular colors should be okay now move
on to lateral this here you don't have to go that much, okay so blue you could or
you can use light gray here's okay there's too much just a little bit cut
it just subtle all right, you don't have to make it even, see it's some
translucency okay I want to put the little cervical area little bit darker
with orange pink see maximize the chroma
this right it's good, here too, and then increase a little translucency like
that and
here too, here is the canine alright basically 6 unit we almost done and then
using the white, horizontal line little bit and between the teeth, like this, see, too much
the halo
like this
and halo too, and little bit horizontal line a simple technique to match the denture teeth
make them better you want the mamalon I could put a little
mamalon here and then also another tip you want to go to the gingiva has a
little bit more whiter so you can make the whiter effect yeah
okay so we maximize it, the digital denture
digital implant actually
and then you can put the subtle stain in between maximize it looks like a tooth
pink like this right? we see the differences
between the teeth, just cure it 10 minutes you can get beautiful... better than
this color right so here it is premolar is same thing go to premolar same
thing translucency with A+ chroma so basically we're trying to match A3 nice
translucency with the dentine, nice embrasure too, but this is the
5-minute tips for you guys the occlusion same thing you can make
little stain too like this now you can do that as well now here's the same
thing too you just add cervical area like that there's a lustre right and then
translucency with the gray or blue
alright so you can get the the final cosmetic implant denture
we make ...create this beautiful restoration, I use OPTIGLAZE
from GC America, then you can order it then you can get great color
thanks for watching